STATE OF NEVADA
DEPARTMENT OF BUSINESS AND INDUSTRY
REAL ESTATE DIVISION
Revision 04/20/2018 Page 1 of 2 635
3300 W. Sahara Ave., Suite 350, Las Vegas, Nevada 89102 * (702) 486-4033
e-mail: realest@red.nv.gov * http://red.nv.gov/
REAL ESTATE INSTRUCTOR APPLICATION
PRE-LICENSING POSTLICENSING CONTINUING EDUCATION
Applicants E-Mail Address:
2. Name and address of school / organization or sponsor for which the applicant will instruct:
3. Title of Course which the applicant will instruct:
COURSE NUMBER #: ________________________
4. PROOF OF QUALIFICATION MUST BE ATTACHED to include:
Detailed resume defining dates (from-to) of schooling and experience. Describe experience in the field in which
applicant is applying to instruct so that resume clearly indicates how applicant is qualified to teach subject
matter of course per NAC 645.426
;
Copies of applicable documents (licenses, certificates, etc).
QUESTIONS 5, 6 AND 7 MUST BE ANSWERED BY APPLICANT:
5. Have you ever been refused approval of a license or certificate by any Federal, State, County or City agency?
Yes No If yes, attach an explanation.
6. Has any license or certificate held by you been suspended, revoked or subject to discipline?
Yes No If yes, attach an explanation.
7. Have you ever been subject to disciplinary action by any Federal, State, County or City agency?
Yes No If yes, attach an explanation.
INCOMPLETE SUBMISSION WILL RESULT IN DELAY OF APPLICATION
I declare under penalty of perjury under the laws of the State of Nevada that the foregoing and attached
documentation and statements of experience and eligibility are true and correct. If approved, I agree to comply
with all applicable laws, regulations, policies and procedures, including the Instructor Standards of Conduct which
I have read and understood, and will duly execute upon the grant of this application.
Executed on: , 20
(Date) (Signature of Applicant)
(Printed Name of Applicant)
